Evaluating the Impact of Quitting Using Executive Function Strategy Training (QUEST) on Smoking Cessation in Homeless Young Adult Smokers

NCT ID: NCT06745154

Last Updated: 2024-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-26

Study Completion Date

2023-08-30

Brief Summary

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This clinical trial evaluates the impact of Quitting Using Executive Function Strategy Training (QUEST) on quitting smoking (cessation) in homeless young adult smokers with an acquired brain injury (ABI). Over 70% of youth and young adults experiencing homelessness (YYEH) smoke tobacco. More than half of YYEH who smoke have made at least one attempt to quit smoking but few use evidence-based methods to increase success. In addition, 9 out of 10 of these have an acquired brain injury which may have a negative impact on successful smoking cessation. QUEST may help homeless young adult smokers with an ABI quit smoking.

Detailed Description

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PRIMARY OBJECTIVES:

I. Gather data needed to build QUEST (Quitting Using Executive function Strategy Training), an intervention to help youth and young adults (YYEH) with executive function dysregulation better 1) access evidence-based cessation; 2) adhere to processes of evidence-based treatment; and 3) address stress to prevent relapse.

II. Establish the feasibility of collecting acquired brain injury (ABI) status, and impact data sensitive to change over time (clinical and epigenetic), from YYEH tobacco users in community settings.

EXPLORATORY OBJECTIVE:

I. Determine if 1) executive functioning 2) mild cognitive impairment and 3) epigenetic age \& other biomarkers of health risk measures are sensitive to difference by ABI status among YYEH past week combustible tobacco users.

OUTLINE:

Patients receive access to the Ohio Tobacco Quitline, receive nicotine patches, gum, or lozenges for up to 8 weeks. Patients also participate in tobacco cessation counseling sessions for 5 sessions over 8 weeks. Patients additionally undergo cognitive assessment and nasal swab collection on study.

Conditions

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Cigarette Smoking-Related Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Prevention (QUEST)

Patients receive access to the Ohio Tobacco Quitline, receive nicotine patches, gum, or lozenges for up to 8 weeks. Patients also participate in tobacco cessation counseling sessions for 5 sessions over 8 weeks. Patients additionally undergo cognitive assessment and nasal swab collection on study.

Group Type EXPERIMENTAL

Biospecimen Collection

Intervention Type PROCEDURE

Undergo nasal swab collection

Cognitive Assessment

Intervention Type PROCEDURE

Undergo cognitive assessment

Interview

Intervention Type OTHER

Ancillary studies

Nicotine Replacement

Intervention Type DRUG

Given nicotine patches, gum, or lozenges

Smoking Cessation Intervention

Intervention Type BEHAVIORAL

Receive access to the Ohio Tobacco Quit Line

Survey Administration

Intervention Type OTHER

Ancillary studies

Tobacco Cessation Counseling

Intervention Type OTHER

Participate in counseling sessions

Interventions

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Biospecimen Collection

Undergo nasal swab collection

Intervention Type PROCEDURE

Cognitive Assessment

Undergo cognitive assessment

Intervention Type PROCEDURE

Interview

Ancillary studies

Intervention Type OTHER

Nicotine Replacement

Given nicotine patches, gum, or lozenges

Intervention Type DRUG

Smoking Cessation Intervention

Receive access to the Ohio Tobacco Quit Line

Intervention Type BEHAVIORAL

Survey Administration

Ancillary studies

Intervention Type OTHER

Tobacco Cessation Counseling

Participate in counseling sessions

Intervention Type OTHER

Other Intervention Names

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Biological Sample Collection Biospecimen Collected Specimen Collection Nicotine Replacement Therapy NRT Smoking and Tobacco Use Cessation Interventions

Eligibility Criteria

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Inclusion Criteria

* 18-24 years old
* Utilizing STAR House ( a drop-in center for youth and young adults experiencing homelessness) services
* Use of combustible tobacco product in the last week
* Willing to quit smoking in the next 30 days
* Acquired Brain Injury (ABI) (15 youth with and 15 without)

* CHATS will be used to determine ABI. Ask "C", "H" and "A" of the CHATS tool. If yes to C OR H and yes to A, that will be considered positive for ABI
* Have access to a phone
* Willing to use phone for QuitLine (QL) services
* Willing to enroll in Ohio Tobacco Quit Line
* Willing to share Ohio Tobacco Quit Line portal data with researchers
* Willing to provide biospecimens (exhaled air and nasal samples)
* Conversational English skills
Minimum Eligible Age

18 Years

Maximum Eligible Age

24 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ohio State University Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julianna Nemeth, PhD

Role: PRINCIPAL_INVESTIGATOR

Ohio State University Comprehensive Cancer Center

Locations

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Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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NCI-2024-04793

Identifier Type: REGISTRY

Identifier Source: secondary_id

OSU-23119

Identifier Type: -

Identifier Source: org_study_id